Dermatofibroma - Дерматофиброма
☆ Германаас гаргасан 2022 оны Stiftung Warentest-ийн үр дүнгээс үзэхэд ModelDerm-ийн хэрэглэгчдийн сэтгэл ханамж нь төлбөртэй телемедицинийн зөвлөгөө авахаас арай доогуур байв.
Дерматофиброма (Dermatofibroma)-ын ердийн тохиолдол ― мөчний хатуу зангилаа. Дерматофиброма (Dermatofibroma) бол харьцангуй түгээмэл хоргүй хавдар юм.
References
Dermatofibroma нь ихэвчлэн гар, хөлөнд илэрдэг арьсны нийтлэг өвчин юм. Энэ нь ихэвчлэн 1 см-ээс бага хэмжээтэй арьсан доорх хатуу бөөгнөрөл хэлбэрээр илэрдэг. Ихэвчлэн өвдөлтгүй байдаг ч энэ нь шавьж хазуулсан, өргөс хатгасан гэх мэт өнгөрсөн үеийн бага зэргийн гэмтэлтэй холбоотой байж болно. Дерматофиброма нь хэнд ч нөлөөлж болох боловч 20-40 насны эмэгтэйчүүдэд илүү их тохиолддог. Эдгээр нь ихэвчлэн хоргүй байдаг ч заримдаа арилгасны дараа дахин гарч ирдэг. Дерматофибромыг dermatofibrosarcoma protuberans гэж нэрлэгддэг илүү түрэмгий арьсны хавдраас ялгах нь чухал юм.
Dermatofibroma is a commonly occurring cutaneous entity usually centered within the skin's dermis. Dermatofibromas are referred to as benign fibrous histiocytomas of the skin, superficial/cutaneous benign fibrous histiocytomas, or common fibrous histiocytoma. These mesenchymal cell lesions of the dermis clinically are firm subcutaneous nodules that occur on the extremities in the vast majority of cases and may or may not be associated with overlying skin changes. They are most commonly asymptomatic and usually relatively small, less than or equal to 1 centimeter in diameter. Often, patients who present with a dermatofibroma relate a history of possibly inciting local trauma at the site, such as from an insect bite or superficial puncture wound from thorns or wood splinters. Dermatofibromas occur in people of all ages, although more commonly during the ages of the 20s to 40s, and develop more frequently in females than males, with as high as a 2:1 female to male predominance according to some reports. They are a benign tumor, although there have been cases of local recurrence, and even more rarely, distant metastases have been reported. When considering the differential diagnosis of these lesions, it is vitally important to distinguish dermatofibromas from dermatofibrosarcoma protuberans, a similar-appearing but more aggressive cutaneous neoplasm.
Dermatofibroma is a commonly occurring cutaneous entity usually centered within the skin's dermis. Dermatofibromas are referred to as benign fibrous histiocytomas of the skin, superficial/cutaneous benign fibrous histiocytomas, or common fibrous histiocytoma. These mesenchymal cell lesions of the dermis clinically are firm subcutaneous nodules that occur on the extremities in the vast majority of cases and may or may not be associated with overlying skin changes. They are most commonly asymptomatic and usually relatively small, less than or equal to 1 centimeter in diameter. Often, patients who present with a dermatofibroma relate a history of possibly inciting local trauma at the site, such as from an insect bite or superficial puncture wound from thorns or wood splinters. Dermatofibromas occur in people of all ages, although more commonly during the ages of the 20s to 40s, and develop more frequently in females than males, with as high as a 2:1 female to male predominance according to some reports. They are a benign tumor, although there have been cases of local recurrence, and even more rarely, distant metastases have been reported. When considering the differential diagnosis of these lesions, it is vitally important to distinguish dermatofibromas from dermatofibrosarcoma protuberans, a similar-appearing but more aggressive cutaneous neoplasm.
Lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, epidermoid cysts тохиолдолд илүүд үздэг эмчилгээ бол мэс заслын аргаар зайлуулах явдал юм. Cherry angiomas, sebaceous hyperplasia -ийг ихэвчлэн лазер эмчилгээ эсвэл электродетикжуулалтаар эмчилдэг. Крио эмчилгээ, сахлын тайралт нь acrochordons, seborrheic keratoses хүмүүсийн түгээмэл сонголт юм. Хэрэв өрхийн эмч гэмтлийг оношлох, эмчлэх талаар эргэлзэж байвал, эсвэл биопси нь меланома гэж батлагдвал мэргэжилтэн рүү шилжүүлэхийг зөвлөж байна.
The preferred treatment for lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, epidermoid cysts is surgical removal. Cherry angiomas, sebaceous hyperplasia are commonly treated with laser therapy or electrodesiccation. Cryotherapy and shave excision are popular choices for acrochordons, seborrheic keratoses. If a family physician feels uncertain about diagnosing or treating a lesion, or if a biopsy confirms melanoma, referral to a specialist is recommended.
The preferred treatment for lipomas, dermatofibromas, keratoacanthomas, pyogenic granulomas, epidermoid cysts is surgical removal. Cherry angiomas, sebaceous hyperplasia are commonly treated with laser therapy or electrodesiccation. Cryotherapy and shave excision are popular choices for acrochordons, seborrheic keratoses. If a family physician feels uncertain about diagnosing or treating a lesion, or if a biopsy confirms melanoma, referral to a specialist is recommended.
Дерматофиброма нь шавьж хазуулсан, өргөст хатгалт гэх мэт өмнөх гэмтлийн хариу урвалаар үүсч болно. Дерматофиброма нь арьсны хоргүй гэмтэл гэж ангилдаг бөгөөд тэдгээр нь бүрэн гэм хоргүй гэсэн үг боловч дерматофиброма нь арьсан доорх олон төрлийн хавдартай андуурч болно. Гүн нэвтэрч буй дерматофиброма нь гистологийн хувьд ч "дерматофибросаркома протуберанууд" гэх мэт ховор хавдартай фиброхистоцитын хавдраас ялгахад хэцүү байж болно.
○ Оношлогоо, эмчилгээ
Ихэнх нь хоргүй боловч том гэмтэл (5 мм-ээс дээш) нь биопси хийх шаардлагатай болдог.
#Dermoscopy
#Skin biopsy